UROLOGY ASSOCIATES, S.C. (NPI# 1427066018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427066018 |
| Entity Type | Organization |
| Organization Name | UROLOGY ASSOCIATES, S.C. |
| Practice Address |
500 Health Center Dr Suite 305 Mattoon IL 61938-9258 |
| Practice Telephone | 2172584186 |
| Practice Fax Number | 2172584185 |
| Mailing Telephone | 2172584186 |
| Mailing Fax Number | 2172584185 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROGER KENT RIVES (OWNER/MD) |
| Authorized Official Telephone | 2172584186 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 174400000X | Specialist | IL | Other Service Providers | |
| X | 174400000X | Specialist | IL | Other Service Providers | |
| X | 363A00000X | Physician Assistant | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE PIN # | L58333 | 01 |
| Street Address |
500 HEALTH CENTER DR SUITE 305 |
| City | MATTOON |
| State | IL |
| Zip Code | 61938-9258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275525701 | Carl R Johnson | Internal Medicine | 500 Health Center Dr, Suite 104, Mattoon, IL 61938-9258 | 2005-08-19 |
| 1740400597 | Sarah Bush Lincoln Health Center | Clinic/Center | 500 Health Center Dr, Suite 406, Mattoon, IL 61938-9258 | 2007-04-26 |
| 1861510901 | Sarah Bush Lincoln Health Center | Internal Medicine | 500 Health Center Dr, Suite 302, Mattoon, IL 61938-9258 | 2007-03-27 |
| 1770601817 | Sarah Bush Lincoln Health Center | Internal Medicine | 500 Health Center Dr, Suite 401, Mattoon, IL 61938-9258 | 2007-03-27 |
| 1689792723 | Sarah Bush Lincoln Health Center | Neurological Surgery | 500 Health Center Dr, Mattoon, IL 61938-9258 | 2007-03-27 |
| 1497873533 | Sarah Bush Lincoln Health Center | Orthopaedic Surgery | 500 Health Center Dr, Suite 101, Mattoon, IL 61938-9258 | 2007-03-27 |
| 1124146261 | Sarah Bush Lincoln Health Center | Pain Medicine | 500 Health Center Dr, Mattoon, IL 61938-9258 | 2007-03-27 |
| 1396863437 | Sarah Bush Lincoln Health Center | Pediatrics | 500 Health Center Dr, Suite 208, Mattoon, IL 61938-9258 | 2007-03-27 |
| 1477671519 | Sarah Bush Lincoln Health Center | Surgery | 500 Health Center Dr, Suite 301, Mattoon, IL 61938-9258 | 2007-03-27 |
| 1508984642 | Sarah Bush Lincoln Health Center | Otolaryngology | 500 Health Center Dr, Mattoon, IL 61938-9258 | 2007-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831134 | St Anthony's Memorial Hospital of The Hospital Sisters of The Third Or | Clinic/Center | 101 Coles Centre Pkwy, Ste 101, Mattoon, IL 61938 | 2020-04-30 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1841707726 | Mattoon Chiropractic LLC | Chiropractor | 905 Remington Rd, Mattoon, IL 61938 | 2018-01-02 |
| 1164892758 | Dr. Charles L. Schnibben Ltd. | Dentist | 1502 Lakeland Blvd, Mattoon, IL 61938 | 2015-09-25 |
| 1982000139 | Judy A. Clark | Hearing Instrument Specialist | 1302 Charleston Avenue, Audibel Hearing Aids, Mattoon, IL 61938 | 2014-11-17 |
| 1023419884 | Christopher Steven Lillie | Physician Assistant | 200 Richmond Ave East, Family Medical Center, Mattoon, IL 61938 | 2014-09-11 |
| 1295055168 | Jennifer Harp | Mechanotherapist | 232 Richmond Ave East, Mattoon, IL 61938 | 2010-06-02 |
| 1447482682 | Gene Clark Hearing Aid Service | Hearing Aid Equipment | 208 Wabash, Mattoon, IL 61938 | 2009-08-21 |
| 1326229774 | Central Illinois Family Health Center | Nurse Practitioner | 10555 East County Rd 800 North, Mattoon, IL 61938 | 2007-11-14 |
| 1568656445 | Bernie Ranchero | Family Medicine | 1004 Health Center Dr Ste 210, Mattoon, IL 61938 | 2007-09-04 |
| Find all providers in zip 61938 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902043219 | Ashley Ann Craig | Specialist | 205 Hillcrest, Mattoon, IL 61938-4631 | 2009-01-08 |
| 1013190297 | Shannon Lynn Stallworth | Specialist | 921 Lake Land Blvd, Mattoon, IL 61938-5521 | 2007-12-11 |
| 1841280831 | Ronald Miller | Specialist | 220 Richmond Ave E, Mattoon, IL 61938-4652 | 2005-10-21 |
| 1710981055 | Richard Joseph Cook | Specialist | Sarah Bush Lincoln Health Center, Mattoon, IL 61938-0372 | 2005-06-02 |
| 1497991392 | Jill Michelle Alier | Specialist | 1510 Broadway Ave, Suite 1, Mattoon, IL 61938-4043 | 2008-12-23 |
| 1134303811 | William Dayton King | Specialist | 921 Lake Land Blvd, Mattoon, IL 61938-5521 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850730 | Nirvana Medspa and Laser Center, Ltd | Specialist | 11801 Southwest Hwy Ste 2n, Palos Heights, IL 60463-1069 | 2020-10-27 |
| 1801402938 | Terri Sendelbach | Specialist | 340 W Butterfield Rd Ste 4b-418, Elmhurst, IL 60126-5069 | 2020-09-23 |
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1891356176 | Kristin Michelle Stahlheber | Specialist | 6718 Goshen Rd, Edwardsville, IL 62025-3025 | 2019-06-26 |
| 1689238438 | Sara Sladoje | Specialist | 936 Raleigh Rd, Glenview, IL 60025-4330 | 2019-04-26 |
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1962979286 | Time 2 Talk, LLC | Specialist | 6791 Wesley Chapel Rd, Chatham, IL 62629-9722 | 2018-10-24 |
| 1871068783 | Kelsey Lynn Mora | Specialist | 5225 Old Orchard Rd Ste 14, Skokie, IL 60077-1027 | 2018-10-06 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.